{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:28:21Z","timestamp":1776212901684,"version":"3.50.1"},"reference-count":17,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T00:00:00Z","timestamp":1701907200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215123002220_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>This study aimed to propose a systematic approach for managing thick-skinned rhinoplasty patients.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215123002220_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>A retrospective review of the treatment of 26 thick-skinned patients with aesthetic and\/or functional problems over a period of three years from January 2018 to January 2021 with a follow up for one year. A presurgical evaluation of skin was carried out initially. Skin thickness due to sebaceous overactivity was treated with retinoic acid derivatives, and skin thickness due to increased adipose tissue or hypertrophic fibrofatty layers was treated surgically. Open rhinoplasty was performed in all patients and a strong osseocartilaginous framework was created with the skin stretched as much as the aesthetic tolerance allowed.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215123002220_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Post-operative outcomes were based on subjective assessment, photographic evaluation and the Rhinoplasty Outcome Evaluation questionnaire, which indicated significant patient satisfaction.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215123002220_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>Using this systemic approach for treating thick-skinned rhinoplasty patients, predictable results with improved aesthetic satisfaction in patients were achieved.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215123002220","type":"journal-article","created":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T04:56:31Z","timestamp":1701924991000},"page":"512-519","source":"Crossref","is-referenced-by-count":8,"title":["A comprehensive approach to rhinoplasty for thick-skinned patients"],"prefix":"10.1017","volume":"138","author":[{"given":"Brajendra","family":"Baser","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6603-1043","authenticated-orcid":false,"given":"Sreena","family":"Dev","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shangorav","family":"Mukhopadhyay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2023,12,7]]},"reference":[{"key":"S0022215123002220_ref9","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1001\/jamafacial.2015.0361","article-title":"SMAS debulking for management of the thick-skinned nose","volume":"17","author":"Chu","year":"2015","journal-title":"JAMA Facial Plast Surg"},{"key":"S0022215123002220_ref12","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/j.fsc.2014.04.011","article-title":"Rhinoplasty in the Mestizo nose","volume":"22","author":"Cobo","year":"2014","journal-title":"Facial Plast Surg Clin North Am"},{"key":"S0022215123002220_ref4","doi-asserted-by":"crossref","first-page":"836e","DOI":"10.1097\/PRS.0000000000002687","article-title":"The Indian nose","volume":"138","author":"Nagarkar","year":"2016","journal-title":"Plastic Reconstr Surg"},{"key":"S0022215123002220_ref2","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1055\/s-2002-36488","article-title":"Anatomic considerations in aesthetic rhinoplasty","volume":"18","author":"Lam","year":"2002","journal-title":"Facial Plast Surg"},{"key":"S0022215123002220_ref17","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1093\/asj\/sjw160","article-title":"Managing the difficult soft tissue envelope in facial and rhinoplasty surgery","volume":"37","author":"Kosins","year":"2017","journal-title":"Aesthet Surg J"},{"key":"S0022215123002220_ref1","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1007\/s00266-017-0779-1","article-title":"An effective algorithm for management of noses with thick skin","volume":"41","author":"Guyuron","year":"2017","journal-title":"Aesthetic Plast Surg"},{"key":"S0022215123002220_ref13","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.cps.2015.09.003","article-title":"Rhinoplasty in Latino patients","volume":"43","author":"Cobo","year":"2016","journal-title":"Clin Plast Surg"},{"key":"S0022215123002220_ref10","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1007\/s00266-007-9038-1","article-title":"Three-dimensional measurements of the nasal interdomal fat pad","volume":"32","author":"Coskun","year":"2008","journal-title":"Aesthetic Plast Surg"},{"key":"S0022215123002220_ref11","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1007\/s00266-002-0067-5","article-title":"The new anatomical viewpoint of the nose: the interdomal fat pad","volume":"27","author":"Copcu","year":"2003","journal-title":"Aesthetic Plast Surg"},{"key":"S0022215123002220_ref5","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1055\/s-0036-1596045","article-title":"Isotretinoin use in thick-skinned rhinoplasty patients","volume":"32","author":"Cobo","year":"2016","journal-title":"Facial Plast Surg"},{"key":"S0022215123002220_ref7","doi-asserted-by":"crossref","first-page":"003","DOI":"10.1055\/s-0037-1617445","article-title":"Integrated management of the thick-skinned rhinoplasty patient","volume":"34","author":"Cobo","year":"2018","journal-title":"Facial Plast Surg"},{"key":"S0022215123002220_ref8","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1288\/00005537-197102000-00011","article-title":"An aid to the treatment of supratip swelling after rhinoplasty","volume":"81","author":"Rees","year":"1971","journal-title":"Laryngoscope"},{"key":"S0022215123002220_ref16","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1016\/j.amjoto.2013.01.012","article-title":"Frequency of acne vulgaris and its exacerbation in the facial and periorbital area after septorhinoplasty","volume":"34","author":"Nemati","year":"2013","journal-title":"Am J Otolaryngol"},{"key":"S0022215123002220_ref14","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.fsc.2008.10.004","article-title":"Endonasal suture techniques in tip rhinoplasty","volume":"17","author":"Perkins","year":"2009","journal-title":"Facial Plast Surg Clin North Am"},{"key":"S0022215123002220_ref6","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1093\/asj\/sjaa219","article-title":"Analysis of the effects of isotretinoin on rhinoplasty patients","volume":"40","author":"Yahyavi","year":"2020","journal-title":"Aesthet Surg J"},{"key":"S0022215123002220_ref15","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1001\/jamafacial.2015.1944","article-title":"Effect of post rhinoplasty taping on postoperative edema and nasal draping: a randomized clinical trial","volume":"18","author":"Ozucer","year":"2016","journal-title":"JAMA Facial Plast Surg"},{"key":"S0022215123002220_ref3","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1055\/s-0037-1617421","article-title":"Surgical management of the thick-skinned nose","volume":"34","author":"Davis","year":"2018","journal-title":"Facial Plast Surg"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215123002220","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T08:12:22Z","timestamp":1714551142000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215123002220\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,7]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["S0022215123002220"],"URL":"https:\/\/doi.org\/10.1017\/s0022215123002220","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,7]]}}}